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-CONSTRUCTION <br />PI]RAMT, APPLICATION 1-2 <br />COMBINATION x BUILDING o MECHANICAL x PLUMBING <br />MAILAUUHLSS `- LIY 1.14UNL <br />GCNLI L6Vry 11Yn..•Vn <br />�-\(,L•y(/ <br />MECHANICAL CUNTRACTOR MAIL ADDRESS <br />VIIONL LICENSE NO. <br />PWMUING CONTRACTOR MAIL AODRE55 <br />PHONE LICENSENO•- <br />VERMIT CLASS OF WORK <br />❑ COMGINATION <br />O-BUILCING ❑PLUMBING ❑MECHANICAL ❑NCW <br />❑ADDITION ❑ALT ERA THIN ❑REPAIR <br />VALUATION OF WORK <br />r1'O ❑DEM170LISH <br />❑LENCE ❑SIGN ❑'MIMMING POOL <br />5 <br />DESCHIBE vionK <br />, <br />- <br />OTHER PERMITS OR APPROVALS <br />PHUPOSLD USE <br />REZONE 1:1 SPECIAL USE <br />A LLGLO_65CNPT ION OF TROPE RTY ISHOYl OELOW UR ATTACH <br />F OU{i COP E"1 <br />VARIANCE � SHORLINE ' <br />���Q <br />OF �" J <br />LOT BLOCK• <br />S EPA CHECK LIST REQUIRED <br />I:t YES <br />yj NO <br />J00 ADDRESS <br />MECHANICAL <br />TYPE OF ENERGY ❑({AS ❑FLEC. <br />PLUMBING <br />NO. TYPE OF EOUIPh7ENT _•, ____ _ _ FE_ E <br />• <br />_ _ _ <br />AIR COND. UNITS-M.P. EA. <br />(.(p, TYPE OF FIXTURE OR ITErd FEE <br />_ Rtr_RTGk RnT1ON UNItS•11 v-C A. --�--- <br />•— <br />1 <br />IIAIH 111115 S <br />I <br />ItF,EA.- - _ <br />- B.T.U..ME A. <br />CLOTHES WASHER �— <br />fURCED AIR SYSTEMS <br />ion&S ---�- ---j— <br />pISH WASHERS <br />Ultl(:!:IIJG FOUNTAINS y <br />-_ •---_- __ <br />SPACE W WALL HLATERS D.T.U. <br />F LpOH UHAINS 1 <br />- -- <br />UNIT "EATERS--�---- <br />KIT17HtN SINKS 1 <br />EV APOnATIVE CUOL[115 - --• , <br />••- <br />-'-�-� <br />1)A11 SINKS I <br />I7U(7F DH AIT:S MAIN LEAUE HS 1 <br />CLOTIIkS ORYE RS I I <br />__ �-- <br />t14 IIAT 11S <br />VENTILATION FAN '— <br />•SEHVICF Silt✓.$ <br />RANGE <br />SDI: YS -- SEl':A[iE PU(.7P <br />A-R HANDLING UNIT ••- C.f.M_- •,-__ 1 <br />URINALS <br />LVATEri CLOSE.iS ' <br />'WATER HEATER --1--- <br />1 <br />1YnTEli ID:AIE115 IF: CTIiIC r-- <br />"'- -'CHIMNEY__ <br />fAC. BUILT fIREPLACC W --_T—,- <br />__--•_--• <br />WnSH <br />. _. _ -- — ---- <br />••-L- <br />GAS. SY STEM _N_O_ OP OU TLLtSfull <br />LAUKUHY TItAYS �� <br />- TOTAL S <br />-5 • <br />-- I <br />-- ----PCIIMIT --�� <br />-- I <br />-'--- �---TOTALFEE S <br />THIS YEHMIT DECO\IES Ntll 1. AND VOID 11 )VUIIY, tlH CU NSTRVC <br />DIl <br />PERMIT S-- <br />TION AUTHonIZEO IS NOT CDT,4MENClD WITHIN 1:0 U•%Y:i, If <br />ED On Al,AHOC)%. fDn A <br />TWiAL FEE S <br />CONaT MICTION OR WORK I!; $u:;Pr'•n <br />DAYS AT ANY TIME M TER W0111[ 1!: COL)LIE NCE O. <br />:ATER SERVICE S17E__ CLOG. SUPPLY SIZE <br />VEnI00 OF 120 <br />cE 1 HAVE Tt[nn nM5 n� <br />rV <br />I MCAI <br />TY _-•Yvan-n` .. K Y`. A.-.,-,_. <br />l'SLL ii4r:UaLluA�n �'ILCVcr6Al'K Htfu(Yn1lUtiE lUnCK. <br />FIJO ,-( -,-- <br />pLICATION nNO KNO[V 711E SAME iO I1k TRUE AND CURn[CT. nll <br />IO 4D Kt4 I I <br />GOVCHNING TH'S TYPEI <br />PROVISIONS OF LA)1'S AND ORDINANCES <br />WILL BE COhIPLIEU WITH WHUTHER SPECIFIED HEnEINI <br />_ <br />J5L ZUNk LUl AILL/. VACANT 51Tk <br />OF WORK <br />OII NOT, TIII GRANTING or A PERMIT D.')['NOr PRESUME TO <br />TO VIOLArL Oft CANGLL rHC PROVISIONS OF <br />• []YES ❑NO <br />ff GIVC AUTHORITY <br />ANY OTHER STATE OR LOCAL LAW HLOULAT ING CONST I IUCTION <br />-1 OR THt PLRFOHMANCC OF CONSIRUCT10N.I <br />:YPE OF CON5T. OCCUYANCY [:IIOUI• UNITSUWL LLING <br />:IZC OF BLDG, NO. Uf STORIES MA%, BCC.COAL) <br />x. OArC <br />'ER HLDFCU NTRAC OHO H AU 11. A6E NT <br />•R1L ZON1-- IIASCMETJT Ilitl !•IIiINM1ll ltti <br />• RLOUIRLO <br />_i m,R..:Y,.u-.�....uw YLAN CILLCAItL <br />i'L.:N LHLC, NUMDLN <br />❑YLS NO <br />ILC ICCEIrT ND. <br />'LCIAL CONDITIONS: <br />... ....... <br />-+FEES VALUATION - FEE <br />-�.--•- <br />I [WILDING S SQ T /lQ <br />SE PA REVIEW COMPLETE: DYES [INO <br />1 <br />1'"'M1li°Nn <br />I <br />conlBcl PIDnnlnq dBpl. <br />MLCIIANICAL <br />OMER <br />����•YYYY����''--'� -- <br />a ICA HOr1 A..If 11u YY •LGrpY L.I.YtUY�M'MUYI II UI xV:4'AM.IYY <br />PENALTY Lc. 303 I YI <br />'--_--,•.. 1....-_ <br />.•_ TOTAL <br />